Senate Bill S1043

2019-2020 Legislative Session

Relates to rates of reimbursement for telehealth services

download bill text pdf

Sponsored By

Archive: Last Bill Status - Stricken


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2019-S1043 (ACTIVE) - Details

Law Section:
Public Health Law
Laws Affected:
Amd §§2999-dd & 4406-g, Pub Health L; amd §§3217-h & 4306-g, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: S7953
2017-2018: S834

2019-S1043 (ACTIVE) - Summary

Relates to rates of reimbursement for telehealth services; requires insurers to reimburse telehealth providers at the same rate as they would if the services had been provided in person.

2019-S1043 (ACTIVE) - Sponsor Memo

2019-S1043 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   1043
 
                        2019-2020 Regular Sessions
 
                             I N  S E N A T E
 
                             January 10, 2019
                                ___________
 
 Introduced  by  Sens.  YOUNG, RITCHIE -- read twice and ordered printed,
   and when printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law and the insurance law, in relation
   to rates of reimbursement for telehealth services
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Section  2999-dd  of  the public health law is amended by
 adding a new subdivision 3 to read as follows:
   3. AN INSURER  SHALL  REIMBURSE  A  TELEHEALTH  PROVIDER  FOR  COVERED
 SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS AND AT THE SAME RATE
 AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELEHEALTH.
   §  2.  Subsection (a) of section 3217-h of the insurance law, as added
 by chapter 6 of the laws of 2015, is amended to read as follows:
   (a) An insurer shall not exclude  from  coverage  a  service  that  is
 otherwise  covered  under  a policy that provides comprehensive coverage
 for hospital, medical or surgical care because the service is  delivered
 via  telehealth,  as  that  term  is  defined  in subsection (b) of this
 section; provided, however, that an insurer may exclude from coverage  a
 service  by  a  health care provider where the provider is not otherwise
 covered under the policy. An  insurer  SHALL  REIMBURSE  THE  TELEHEALTH
 PROVIDER FOR COVERED SERVICES DELIVERED VIA TELEHEALTH ON THE SAME BASIS
 AND AT THE SAME RATE AS ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIV-
 ERED VIA TELEHEALTH; AND may subject the coverage of a service delivered
 via  telehealth to co-payments, coinsurance or deductibles provided that
 they are at least as favorable to the insured as those  established  for
 the  same  service  when  not  delivered  via telehealth. An insurer may
 subject the coverage of a service delivered via telehealth to reasonable
 utilization management  and  quality  assurance  requirements  that  are
 consistent  with  those established for the same service when not deliv-
 ered via telehealth.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD03942-01-9
              

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